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Annual Checkup, New Patient (Ages 40-64)

Louisiana rates for HCPCS 99386

A comprehensive first-time wellness visit for an adult patient between about 40 and 64 who is new to this provider, focused on preventive care rather than an existing illness. It typically includes a full health history, an age-appropriate physical exam, and counseling on preventive topics that become more relevant with age, such as certain screenings and lifestyle guidance. It's meant to establish a baseline and catch potential health issues early.

Rates data updated July 2026.

How much does Annual Checkup, New Patient (Ages 40-64) cost?

$138

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $141 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$138$115 to $170
FacilityA hospital or hospital-owned outpatient department$141$123 to $174

How much rates vary

Facilitymedian $141 · 10th to 90th $123 to $191Professionalmedian $138 · 10th to 90th $95 to $275
$20.0$50.0$100.0$200.0$500.0facility $141professional $138

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$151.36
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$138.04
Typical High
$302.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$134.90
Typical High
$162.18
Christus
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$144.54
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$131.83
Typical High
$204.17

Where Louisiana sits

The same service costs 2.1 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Louisiana $138 · 45th of 51
MN $257DE $120

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.